Transcription of Summary of Benefits and Coverage: What this Plan Covers ...
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Summary of Benefits and Coverage: What this Plan Covers ...
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2022 - 12/31/2022 Horizon BCBSNJ: Advantage EPO Silver Coverage for: All Coverage Types Plan Type: EPO (G4098/P2548)(G4099/P2549)(G4264/P2737) 1 of 8 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a Summary . Benefits may change upon renewal. For more information about your coverage, or to get a copy of the complete terms of coverage, visit Member Online Services at or by calling 1- 888-425-5611. If you do not currently have coverage with Horizon BCBSNJ you can view a sample policy here, For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary.
Yes. For a list of in-network providers, see www.HorizonBlue.com or call 1-888- 425-5611 This plan uses a provider network. You will pay less if you use a provider in the
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